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Mr. Oswaldo Giovanni Tagle Manrique, PA-C
Medical Physician Assistant in Allentown, Pennsylvania
NPI 1063057040

Oswaldo Giovanni Tagle Manrique is a Medical Physician Assistant based in Emmaus, PA and is specialized in Medical. Oswaldo Giovanni Tagle Manrique practices in Allentown, PA and has the professional credentials of PA-C. The NPI Number for Oswaldo Giovanni Tagle Manrique is 1063057040 and holds a License No. MA061118 (Pennsylvania).

The current practice location address for Oswaldo Giovanni Tagle Manrique is 2200 Hamilton St Ste 111, Allentown, PA and can be reached out via phone at 610-821-8321.

Location: 2200 Hamilton St Ste 111, Allentown, PA, 18049-1909
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Provider Profile Details
NPI Number
1063057040
Provider Name
Oswaldo Giovanni Tagle Manrique
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
2200 Hamilton St Ste 111, Allentown, PA, 18049-1909
Phone Number
610-821-8321
Fax Number
Provider Enumeration Date
11/13/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
OA005038 01 PA OSTEOPATHIC PHYSICIAN ASSISTANT LICENSE
MA061118 01 PA MEDICAL PHYSICIAN ASSISTANT LICENSE
institution
Provider Business Practice Location Address Details
Address
2200 Hamilton St Ste 111
City
State
Zip
18104-6329
Phone Number
610-821-8321
Fax Number
person
Provider Business Mailing Address Details
Address
2200 Hamilton St Ste 111
City
State
Zip
18104-6329
Phone Number
610-821-8321
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
MA061118 (Pennsylvania)
Definition
Definition to come...
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